Welcome to StrongWomen- Healthy Hearts Welcome to StrongWomen- Healthy Hearts! Webinar: Dissemination Research & Your Role

Presenters Dr. Miriam Nelson- Tufts University miriam.nelson@tufts.edu Office: 617-636-3735 Dr. Sara Folta- Tufts University sara.folta@tufts.edu Office: 617-636-3423 Cell: 781-838-2075 Adee Viskin- Tufts University 617-636-3528 Eleanor Heidkamp-Young Technical Assistance 617-636-6582

Goals Give brief background of StrongWomen program Review program components Review expectations for research study- human subjects and collecting data

Questions Clarifying questions in the questions box Very brief question to clarify something the speaker said.

StrongWomen- Healthy Hearts Very Brief History Results after 1 year of strength training: Postmenopausal women: Muscle strength increased 76% Bone density improved 1 to 3% Balance improved by 13% Muscle mass increased increased 1.4kg Body fat decreased by the same amount Physical activity increased by 26% JAMA 1994, Nelson et al.

Knowledge/Access/Behavior Change StrongWomen Program Public outreach Newsletter Book series StrongWomen.com Research Community Program Knowledge/Access/Behavior Change

Program Objective The objective of the StrongWomen- Healthy Hearts Program is to prevent or delay the onset of heart disease in middle-aged and older women by increasing access to: Structured, safe, and effective aerobic activity Nutrition education related to heart health and weight control

The StrongWomen – Healthy Hearts Program 12 weeks, 2 classes each week, 1 hour to 1 hour 15 minutes each 30 minutes of aerobic activity 30 minutes of nutrition education focused on heart health

The Aerobic Component Progression from 15 minutes at low-to-moderate intensity to 25 minutes at moderate-to-vigorous intensity Walking Aerobic dance

The Nutrition Education Component Weight control Eating by HEART: Heap on the vegetables and fruits Emphasize the right fats Accentuate whole grains Revere low- and nonfat dairy foods Target heart-healthy proteins

THIS RESEARCH STUDY – DISSEMINATION Purpose: To rigorously evaluate the dissemination of the StrongWomen – Healthy Hearts Program so that it can achieve maximal public health impact (SARA)

Beyond Effectiveness: RE-AIM Reach Effectiveness Adoption Implementation Maintenance

THE RESEARCH STUDY: Expectations and Human Subjects What is my role as a leader?

Expectations Timeline: Training Start program: recruitment & screening Informa-tional Meeting Orientation and Assess-ment Meeting Start classes Final class: final assessments This time interval is up to you. Approximately 1-2 weeks Approximately 1 week 12 weeks

Expectations Research question: REACH Complete Leader Questionnaire Document recruitment strategies (you will receive monthly emails as you recruit) Ask participants to complete Participant Questionnaire (at Orientation and Assessment Meeting)

What type of information will be collected for REACH?

Expectations Research question: EFFECTIVENESS At Orientation and Assessment Meeting: Ask participants to complete: Fruit & Vegetable Brief FFQ International Physical Activity Questionnaire (IPAQ) Take participants’ heights and weights Send data to Tufts

MEASURING HEIGHTS & WEIGHTS

Expectations At last class: Ask participants to complete again: Fruit & Vegetable Brief FFQ IPAQ Take participants’ weights

Research question: ADOPTION Let us know when you start a program! We may check in with you periodically Contact Adee Viskin

Research question: IMPLEMENTATION Complete a monthly survey on delivery of curriculum activities You will receive reminder emails from study staff

Research question: MAINTENANCE Let us know if you run the program again (after the first time) We may check in with you periodically

Human Subjects Mandate: to protect the rights and welfare of human subjects involved in research

Training CPR Human Subjects Taken on-line On-line training: http://www.cprtoday.com/

IRB Approval We are working with your IRB to approve the study protocol. You must wait until there is approval before you begin recruiting.

Informed Consent To provide clear information on: What is expected of them Potential risks and benefits Voluntary participation It is important to note that this will include listing any risks and benefits to the participant.

Confidentiality and privacy First Name Last Name 1001 Juliana Smith 1002 ------ 1003 1007 1008 1011 1012 1013 1015 1016

Adverse Events

Recap: Your specific responsibilities: Recruit participants Take informed consent Take measurements Ensure confidentiality and privacy Report adverse events

Dissemination research: Making an impact Strengthening the Program Recruitment Training Curriculum

Success This program makes a difference and we’re glad you’ll be a part of it. We are looking forward to seeing you in September!

Questions and Answers Use the hand raising feature We will take questions in order We will answer as many questions as possible We are always available by phone or email Healthy Hearts email: swhealthyhearts@tufts.edu Healthy Hearts phone: 617-636-3528